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Patient Assessment

Clinical assessment of patient with tracheostomy requires a holistic approach with the aim of identifying actual or potential problems at an early stage to prevent further deterioration.  Clinical assessment should include, but not be limited to the identification of the following:

  • )SEWS/MEWSIncreasing early warning score (
  • Respiratory distress
  • Increased respiratory rate
  • Deterioration in oxygenation
  • Patient complains of shortness of breath
  • Tachycardia
  • Hypotension
  • Haemodynamic instablitiy
  • Change in the level of consciousness
  • Difficulty removing secretions either by suctioning or expectoration
  • Ongoing concern or unresolved issues relating to the airway

If there is ongoing concern regarding the patient’s condition they should be reviewed by a competent healthcare practitioner. Care should be focused on minimising the risk to the patient. Early intervention and management may prevent a clinical emergency occurring.  This is not an exhaustive list and staff must use clinical judgement to assess patient well-being.

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